Individual
EDEN MARIA ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4341 TUDOR CENTRE DR # 300, ANCHORAGE, AK 99508-5904
(907) 729-2500
(907) 729-6353
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-7408
(907) 729-6353
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
203448
AK
2084P0800X
Psychiatry Physician
S2158
TX
390200000X
Student in an Organized Health Care Education/Training Program
32702857
NC
Other
Enumeration date
04/17/2015
Last updated
01/12/2023
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